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Get the free Debit Order Form - Robin van den Berg & Associates

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This form is used to authorise Liberty Life to take money from a bank account for a policy premium or loan repayment.
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A debit order form is a document used to authorize a bank or financial institution to make regular payments from an individual's bank account.
Any individual or organization who wants to set up regular automated payments from their or someone else's bank account is required to file a debit order form.
To fill out a debit order form, you need to provide your personal or organization's details, bank account information, and specify the payment amount, frequency, and duration.
The purpose of a debit order form is to authorize a bank or financial institution to make recurring payments directly from a bank account on behalf of an individual or organization.
The information required on a debit order form typically includes the account holder's name, bank account number, bank branch code, payment amount, payment frequency, and duration.
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